Los Angeles Allergist

Los Angeles Allergist

Alan Khadavi, MD, APC
  • Home
  • Meet Dr. Khadavi
  • Conditions We Treat
  • Your First Visit
  • Insurance Accepted
  • Allergy and Asthma Info
    • Asthma Info
    • Allergic Rhinitis
    • Allergic Triggers
  • Blog
  • Media
  • Contact Us

9001 Wilshire Blvd. Suite 204
Beverly Hills, CA 90211
Phone: 310-282-8822

16260 Ventura Blvd., Suite 140
Encino, CA 91436
Phone: 818-528-7776

December 15, 2015 by Alan Khadavi

Eosinophilic Esophagitis in Southern California

Eosinophilic esophagitis in Southern California was studied using data from members of Kaiser Permanente Southern California.  This was was the first population based study to evaluate Eosinophilic esophagitis epidemiology representative of the community it serves.  This study was published in the Journal of Allergy and Clinical Immunology in Practice, November/December 2015.  Eosinophilic esophagitis has been reported to affect more men than woman, more adults than children, and more white individuals than those from minority backgrounds.  Eosinophilic esophagitis in Southern California was studied using 14 medical Kaiser centers located in Los Angeles, Orange, San Bernardino, San Diego, Kern, Riverside and Ventura counties.

Eosinophilic esophagitis was diagnosed in 1,500 of 3.5 million patients.  Approximately 1300 adults and 200 children.  Males were higher than females and the age did not matter.  Overall, whites had a significantly higher prevalence among blacks, Asians and Hispanics.

Eosinophilic esophagitis was 4 times more common from households with higher annual income than in those from the lowest.

Overall Eosinophilic esophagitis in Southern California was observed in adults (86%) compared to children (14%). Eosinophilic esophagitis was 2.1 times more frequently in men than in women.

We previously discussed Eosinophilic Esophagitis extensively in a previous blog https://allergylosangeles.com/allergy-blog/eosinophilic-esophagitis-eoe/

Another study published in the same journal looked at the management of refractory Eosinophilic esophagitis.  They found through a combination of diet therapy and/or topical steroids in Eosinophilic esophagitis can achieve remission of their disease.  Milk, egg and wheat were the 3 most common food triggers identified.  Histological remission was defined as less than 10 eosinophils/hpf.  Other foods identified in the study were beef, corn, soy, seafood, nuts, rice and beans.  Sometimes a second attempt in diet elimination was needed in patients to achieve remission.  Many patients who attempted it the first time were not able to follow the diet because of its severe restriction.  A more limited diet restriction with less foods can be more productive in some patients.    The topical corticosteroids used were fluticasone 110-220, 2 puffs twice a day or viscous budesonide, 1-6 mg/day in single or divided dosages.  This is similar to the treatment we discussed in a previous post https://allergylosangeles.com/allergy-blog/eosinophilic-esophagitis-treatment-options/

If all of this fails, there are future possible treatment options on the horizon https://allergylosangeles.com/allergy-blog/cinquil-reslizumab-for-eosinophil-disorders/

If you have been diagnosed with eosinophilic esophagitis, your gastroenterologist should work together with your allergist to find the best treatment options for you.

Filed Under: Blog, Food allergy, Los Angeles

alan-khadavi
Dr. Alan Khadavi
Allergy & Asthma Specialist

Latest Posts

January 16, 2021

Singulair psychiatric side effects; a large study

Singulair psychiatric side effects

January 11, 2021

Allegra during Pregnancy, is it safe?

allegra during pregnancy

December 25, 2020

Moderna Covid Vaccine and Allergy

moderna covid vaccine and allergy

December 12, 2020

Pfizer Covid Vaccine and Allergy

covid vaccine and allergy

December 3, 2020

Budesonide Oral Suspension for Eosinophilic Esophagitis

budesonide oral suspension

December 1, 2020

Indacaterol for severe asthma

indacaterol

November 3, 2020

New treatments for chronic hives

New treatments for chronic hives

October 29, 2020

Xolair for Allergic Rhinitis-A recent study

xolair for allergic rhinitis

October 26, 2020

Semen allergy an overview and treatment

semen allergy

October 21, 2020

Peanut Patch (Viaskin) for peanut allergy

viaskin peanut patch

Read More Posts...

Follow Us…

© 2021 Allergy Los Angeles. All Rights Reserved · Log in · Return to top of page